Ultrasound-guided nerve hydrodissection for sciatic neuropathy caused by piriformis rhabdomyolysis: A case report
Gi Young Park1*
, Jae Ik Jung1*, Kang Lip Kim2
1Department of Rehabilitation Medicine, Catholic University of Daegu School of Medicine, Daegu, South Korea
2Department of Rehabilitation Medicine, Daegu Health College Hospital, Daegu, South Korea
Keywords: Hydrodissection, rhabdomyolysis, sciatic neuropathy, ultrasonography.
Abstract
Peripheral entrapment neuropathy is a rare complication of rhabdomyolysis and lacks successful treatment. In this article, we report a case of sciatic neuropathy caused by piriformis rhabdomyolysis which was successfully treated with ultrasoundguided sciatic nerve hydrodissection. A 27-year-old male patient with left buttock pain and left lower limb weakness received ultrasound-guided nerve hydrodissection via injection of dexamethasone and 5% dextrose water into the area surrounding the left sciatic nerve. After injection, the patient’s pain and left lower extremity weakness subsided. In conclusion, although peripheral entrapment neuropathy due to rhabdomyolysis is rare, early diagnosis and treatment using ultrasound-guided nerve hydrodissection may yield favorable clinical outcomes.
* These author contributed equally to this work.
Citation: Park GY, Jung JI, Kim KL. Ultrasound-guided nerve hydrodissection for sciatic neuropathy caused by piriformis rhabdomyolysis: A case report. Jt Dis Relat Surg 2025;36(2):461-466. doi: 10.52312/jdrs.2025.2183.
Case preparation and data collection were performed by: G.Y.P., J.I.J., K.L.K.; The first draft of the manuscript was written by: G.Y.P., J.I.J.; Conception and design of case report was performed by: J.I.J. All authors contributed to the critical review of the manuscript. All of the authors have read and approved the final version of the manuscript.
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
The authors received no financial support for the research and/or authorship of this article.
The data that support the findings of this study are available from the corresponding author upon reasonable request.